A Panorama of the Urological Diseases at the Former Military Teaching Hospital of Cotonou

Open Journal of Urology Pub Date : 2023-01-01 DOI:10.4236/oju.2023.135018

Jean Sossa, Lionelle Fanou, Yao Félicien Hounto, Dodji Magloire Inès Yevi, Fred Jean-Martin Hodonou, Déjinnin Josué Georges Avakoudjo

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引用次数: 2

Abstract

Background: Urological care has been advancing quickly over the last ten years in Benin. In order to conveniently support that trend towards better urological care standards, decision-makers need sound data on urological diseases in the country. Objective: To determine the prevalence of urological diseases in the former Military Teaching Hospital of Cotonou. Patients and Method: We retrospectively collected the urological diseases that the institution had managed from January 2012 to December 2020. We used Excel© 2010 and SPSS© to analyze the collected data. Results: 4244 patients, i.e. 3717 males (87.58%) and 527 females (12.42%) were managed during the study period. The main diseases diagnosed were benign prostatic hyperplasia (32.61%, n = 1384), erectile dysfunction (10.44%, n = 443), chronic prostatitis (5.94%, n = 252), prostate cancer (4.03%, n = 171), and ejaculatory disorders (3.44%, n = 146). In patients ≤ 15 years, predominant diseases were peritoneal vaginal canal (15.9%, n = 43), circumcision (15.6%, n = 42), testicular dystopia (10.7%, n = 29), hydrocele (7.8%, n = 21), and hypospadias (5.6%, n = 15). Wilms tumor (1.9%, n = 5) was the first cancer, testicular (0.4%, n = 1) and para-testicular (0.4%, n = 1) tumors were the next. In patients > 15 and ≤40 years, the main diseases were infertility (14.1%, n = 189), chronic prostatitis (12.9%, n = 173), erectile dysfunction (10.1%, n = 135), ejaculatory disorders (6.2%, n = 83), genital infections (6.2%, n = 83) and urinary stone (4.9%, n = 66). The first cancer was kidney cancer (0.97%, n = 13) followed by bladder cancer (0.3%, n = 4) and testicular tumor (0.3%, n = 4). In patients >40 years, the most prevalent diseases were BPH (52.0%, n = 1370), erectile dysfunction (11.7%, n = 308), prostate cancer (6.5%, n = 171), inguinal hernia (5.1%, n = 134), and urinary stone (3.9%, n = 102). Prostate cancer is the first cancer; the next were bladder (0.95%, n = 25) and kidney (0.68%, n = 18) cancers. Conclusion: Benign prostatic hyperplasia and urological cancers (prostate, bladder and kidney cancers) were the main urological diseases at the former Military Teaching Hospital of Cotonou. Urological malformations and Wilms tumor were the main diseases in the children.

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科托努原军事教学医院泌尿系统疾病概况

背景:在过去十年中，贝宁的泌尿科护理发展迅速。为了方便地支持朝着更好的泌尿系统护理标准发展的趋势，决策者需要有关该国泌尿系统疾病的可靠数据。目的:了解科托努原军队教学医院泌尿系疾病的患病率。患者和方法:回顾性收集我院2012年1月至2020年12月收治的泌尿科疾病病例。我们使用Excel©2010和SPSS©对收集到的数据进行分析。结果:研究期间共管理患者4244例，其中男性3717例(87.58%)，女性527例(12.42%)。诊断出的主要疾病为良性前列腺增生(32.61%，n = 1384)、勃起功能障碍(10.44%，n = 443)、慢性前列腺炎(5.94%，n = 252)、前列腺癌(4.03%，n = 171)、射精障碍(3.44%，n = 146)。在≤15岁的患者中，主要疾病是阴道腹膜管(15.9%，n = 43)、包皮环切(15.6%，n = 42)、睾丸难产(10.7%，n = 29)、鞘膜积液(7.8%，n = 21)和尿道下裂(5.6%，n = 15)。第一肿瘤为肾母细胞瘤(1.9%，n = 5)，其次为睾丸肿瘤(0.4%，n = 1)和睾丸旁肿瘤(0.4%，n = 1)。在> 15岁≤40岁的患者中，主要疾病为不育症(14.1%，n = 189)、慢性前列腺炎(12.9%，n = 173)、勃起功能障碍(10.1%，n = 135)、射精障碍(6.2%，n = 83)、生殖器感染(6.2%，n = 83)和尿路结石(4.9%，n = 66)。第一种癌症是肾癌(0.97%，n = 13)，其次是膀胱癌(0.3%，n = 4)和睾丸肿瘤(0.3%，n = 4)。在>40岁的患者中，最常见的疾病是前列腺增生(52.0%，n = 1370)、勃起功能障碍(11.7%，n = 308)、前列腺癌(6.5%，n = 171)、腹股沟疝(5.1%，n = 134)和尿路结石(3.9%，n = 102)。前列腺癌是第一种癌症;其次是膀胱癌(0.95%，n = 25)和肾癌(0.68%，n = 18)。结论:科托努原军事教学医院泌尿系统疾病以良性前列腺增生和泌尿系统肿瘤(前列腺癌、膀胱癌和肾癌)为主。泌尿系统畸形和肾母细胞瘤是儿童的主要疾病。

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Open Journal of Urology

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